The metacarpals are tubular bones within the palm of the hand, between the bones of the wrist and the bones of the fingers. Each digit has a corresponding metacarpal. A broken, or fractured, metacarpal is almost always the result of trauma in the form of a crushing blow. Boxers so frequently break the fifth metacarpal (aligned with the pinky finger) that it is referred to as a Boxer’s Fracture.

There will probably be tenderness, pain and swelling over the affected area; depending on the severity of the fracture, there may be bruising as well. However, it is not possible to tell where the break is, or how badly fractured the metacarpal is, just by looking at it. If you suspect that you may have a fracture, it is important to see Dr. Cohen as soon as possible.

The course of treatment for a broken metacarpal can vary greatly depending on several factors:

• The location of the break;

• The number of fractures;

• Whether or not there is displacement (the broken pieces have moved out of alignment);

Dr. Cohen will conduct a thorough physical examination, which will most likely include x-rays. Simple cases are usually handled with a cast. More complicated breaks, such as those involving displacement, may require surgery.

Dr. Cohen is well known for his conservative approach, and does not rush to surgery if non-surgical methods will lead to the proper outcome.